Kesha Walker Wynn, LMT is a
Massage Therapist based in Watkinsville, Georgia. Kesha Walker Wynn is licensed to practice in Georgia (license number MT008099) and her current practice location is
3651 Mars Hill Rd Ste 600b, Watkinsville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 262-8748.
NPI number for Kesha Walker Wynn is 1790271757 and her current mailing address is 1550 Cornell Ct, Statham, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790271757.
Healthcare Provider's Profile
| Full Name | Kesha Walker Wynn |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
|---|
| Location | 3651 Mars Hill Rd Ste 600b, Watkinsville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790271757
- Provider Enumeration Date: 07/02/2018
- Last Update Date: 07/02/2018
Medical Identifiers
Medical identifiers for Kesha Walker Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790271757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT008099 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kesha Walker Wynn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kesha Walker Wynn, LMT
1550 Cornell Ct,
Statham, GA 30666-2046
Ph: (706) 817-1662 | Kesha Walker Wynn, LMT
3651 Mars Hill Rd Ste 600b,
Watkinsville, GA 30677-5989
Ph: (770) 262-8748 |
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